For postpartum hemorrhage rescue measures, the first thing to do is to stop bleeding and replenish blood, followed by prevention of shock and infection. In the process of delivery, once the mother is found to have signs of postpartum hemorrhage, the cause should be quickly identified, symptomatic treatment, and close monitoring of blood pressure, pulse, respiration, skin color, expression, and other vital signs changes.
Rescue measures for postpartum hemorrhage
The principle of postpartum hemorrhage treatment is to address the cause, quickly stop bleeding, replenish blood volume to correct shock and prevent infection.
(1) quickly and effectively replenish blood volume. Grasp the time of rescue, establish a dual-channel venous access, use indwelling needles as much as possible, and closely monitor blood pressure, pulse, respiration, skin color, expression and other vital signs. Depending on the condition, grasp the correct speed of intravenous infusion, and pay attention to the conscious symptoms of the mother while rapid infusion, so as not to infuse too much fluid too fast and lead to acute pulmonary edema. Keep the airway open, effective and timely oxygen, the best to be mask oxygen, flow rate of 4-6L/min, observe the effect of oxygen therapy, such as color, nails, whether red, breathing is stable.
(2) postpartum hemorrhage is prone to shock, once shock occurs, the nursing staff must be calm, calm, in taking warmth, oxygen, and actively promote uterine regeneration at the same time to report to the physician, to ensure that the rescue work is carried out in an orderly manner, and immediately check the urgent blood type, blood collection and matching should be made up the amount of blood loss within a short period of time, close observation of vital signs, precise measurement of the amount of bleeding and detailed records.
(3) Massage the bottom of the uterus with bare hands to stimulate uterine contraction and close the blood sinuses of the uterine wall. Assist the physician to improve the examination, and actively prevent the occurrence of complications.
(4) After the bleeding stops and the shock is corrected, the mother should be comforted and rest quietly, encourage and assist the mother to eat, and at the same time, closely observe the mother's blood pressure, pulse, uterine recovery, and the amount of vaginal bleeding, and go back to the ward after 2h of observation in the delivery room without any abnormality.
Postpartum hemorrhage rescue flowchart: